Organization
PHOENIX HOME CARE OF THE TRIAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENZEL CHARLES EDWARDS (OWNER)
(336) 695-4330
Entity
Organization
Contact information
Practice address
2211 W MEADOWVIEW RD, SUITE 11, GREENSBORO, NC 27407-3409
(336) 695-4330
Mailing address
2211 W MEADOWVIEW RD, SUITE 11, GREENSBORO, NC 27407-3409
(336) 695-4330
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4039
NC
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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